ATI Leadership Management Exam Dynamic Q&A Test Bank
A nurse is caring for a client who is a local public official. A newspaper reporter repeatedly phones the unit seeking information and states, "The public has a right to know the health status of elected officials." Which of the following acti...
ati leadership management exam dynamic qampa test bank a nurse is caring for a client who is a local public official a newspaper reporter repeatedly phones the unit seeking information and states
ATI Leadership Management Exam
Dynamic Q&A Test Bank
David.jamin19@gmail.com
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ATI Leadership Management Exam Dynamic Q&A Test Bank
A nurse is caring for a client who is a local public official. A newspaper reporter
repeatedly phones the unit seeking information and states, "The public has a right
to know the health status of elected officials." Which of the following actions
should the nurse take?
Refer all media inquiries to the nursing supervisor.
The HIPAA Privacy Rule prohibits disclosing client information to individuals
who are not involved in care without the client's express consent. The reporter
should be told that, due to confidentiality issues, no information can be given
about any client. The nurse should refer the reporter to the nursing supervisor.
A nurse is documenting data about a client at a computer terminal in the nurses'
station when he has to leave the area to assist another client. Which of the
following actions should the nurse take?
Log off the computer before leaving the nurses' station.
To ensure no one else has access to the client's protected health information, the
nurse should log off the computer terminal and turn off the monitor.
While caring for a client, a nurse notices that the client's call light cord is frayed.
Which of the following actions should the nurse take?
Replace the call light and send the frayed one to the repair department.
For client safety, the client needs to have access to a call light to notify the
nursing staff for assistance. A frayed cord is an electrical hazard. Removal of a
frayed cord is the best way to protect the client from potential electrical shocks
or burns.
A charge nurse is teaching a group of unit nurses about alternative restraints for
clients who are confused and wandering. Which of the following pieces of
information should the nurse include in the teaching?
Provide the client with a rocking chair.
The nurse should advise providing the client with a rocking chair to expend
some of the client's energy through rocking rather than walking, which leads to
wandering.
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A nurse is working with an assistive personnel (AP) in a long-term care facility.
According to the 5 rights of delegation, which of the following determinations
should the nurse make prior to assigning tasks?
The degree of supervision that the AP will require to complete the task.
Successful delegation involves assigning the right task to the right person under
the right circumstances. The person who will perform the task must be given
adequate direction and specification regarding the amount of supervision that
will be provided. The right communication of expectations and the right
feedback about performance must also be supplied.
An experienced nurse is serving as a mentor to a newly licensed nurse. Which of
the following actions should the mentor take?
Serve as a guide and teacher for the newly licensed nurse in an established
relationship.
A mentor establishes a nurturing relationship with a newly licensed nurse and is
willing to invest time and resources to help this person develop as a nurse and an
individual.
A nurse is preparing to give a change-of-shift report to the oncoming nurse. Which
of the following pieces of information should the nurse include?
Objective measurements about the client's condition.
The nurse should include objective observations and measurements about the
client's condition in the report.
A nurse is discussing palliative care with the family of a client who is terminally ill.
Which of the following should the nurse include as the purpose of palliative care?
Providing comfort measures.
Palliative care is an approach to care that promotes comfort for a client who has
a terminal diagnosis and is not receiving aggressive therapy. Palliative care
focuses on managing manifestations of the disease, not on curing the disease.
A nurse is preparing to attend a care plan conference for a client who has severe
burns. Which of the following criteria should the nurse identify as part of an
effective conference?
Other health care professionals are in attendance at the conference.
The nurse should identify that an effective conference should consist of other
health care professionals who contribute to the plan of care for goal setting and
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seek to establish positive client outcomes. The members of the conference consist
of the nursing team who should invite other health professionals (e.g. physical
therapists, dieticians, and occupational therapists) to contribute to the plan of
care.
A nurse is caring for a client who received a sedative-hypnotic medication at
bedtime. The client gets out of bed and falls, sustaining a laceration that requires
suturing. Which of the following statements should be included as part of the
nurse's documentation in the client's chart?
"Client found sitting on floor with 3 cm laceration above left eyebrow. Oriented to
name only. Provider notified."
This statement is appropriate to include in the documentation. It presents
objective facts and assessments related to this event. The nurse should also
include vital signs, further assessments, the name of the provider notified,
treatments or procedures that were done per the provider's prescription, and the
client's response.
A nurse is delegating a client care task to an assistive personnel (AP). Which of the
following directions should the nurse give the AP?
"This client needs to ambulate using a walker three times today."
This direction includes the type of task to be done, the frequency with which the
task is to be performed, the duration of the task, and information about the
mechanics of ambulating the client.
A nurse is preparing a client for discharge. The client states, "My partner hurts
me. I don't want to go home." Which of the following actions should the nurse
take?
Refer the client to social services for assistance in seeking safe housing
A charge nurse is observing a group of newly licensed nurses. Which of the
following actions should the charge nurse report to the nurse manager as a
violation of HIPAA?
Talking about clients with other nurses in the cafeteria.
The nurse should not discuss information about clients—including their personal
concerns, diagnoses, and treatments—with anyone who is not directly involved
in the client's care. Doing so is a violation of HIPAA regulations. Nurses should
take special care not to compromise this right by discussing client care in such
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